Ligilactobacillus Salivarius Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Ligilactobacillus Salivarius interacts with medications. The heart of this page is the interaction list — every drug Ligilactobacillus Salivarius is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Ligilactobacillus Salivarius is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Ligilactobacillus Salivarius against your medication
Add one medicationLigilactobacillus Salivarius Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated August 2026Based on the available evidence, the overall risk of a clinically significant Ligilactobacillus Salivarius drug interaction appears low for most people, because the main concern is medications weakening the probiotic rather than the probiotic causing harm. None of the listed interactions are rated major, and all of them come down to a single, well-understood issue with one class of medications.
The only interaction that stands out involves antibiotics. Because Ligilactobacillus salivarius products contain live bacteria, taking an antibiotic at the same time can kill many of those organisms and make the probiotic less effective. This does not make the antibiotic less safe or less effective; the effect runs in one direction, toward the supplement. Separating the two in time is the usual approach, and your pharmacist can advise on spacing that fits your antibiotic.
Although the number of listed medications looks large, nearly all of them are simply individual antibiotics counted one by one, reflecting the same single concern. This is largely a theoretical effect on the probiotic itself, not evidence that these combinations harm people or change how the medications work.
Based on HelloPharmacist’s Ligilactobacillus Salivarius interaction data and reviewed under our editorial standards.
Drugs that interact with Ligilactobacillus Salivarius
182 medications have a known interaction with Ligilactobacillus Salivarius, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Ligilactobacillus Salivarius using our pharmacist-reviewed interaction data.
AI summaries are generated from our Ligilactobacillus Salivarius interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Ligilactobacillus Salivarius combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Ligilactobacillus Salivarius affects
Every type of medication (drug category) Ligilactobacillus Salivarius is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antibiotic Drugs
Theoretically, taking Ligilactobacillus salivarius with antibiotic drugs might decrease the effectiveness of L. salivarius.
Ligilactobacillus salivarius preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. salivarius preparations by at least two hours.
Ligilactobacillus Salivarius: Uses, Safety & Side Effects
Ligilactobacillus salivarius (formerly called Lactobacillus salivarius) is a probiotic bacterium found naturally in the mouth and gut of humans and animals. People take it to support digestion, oral health, and immunity, but solid human evidence is still limited for most uses. It is generally well tolerated in healthy people, but those with weakened immune systems should check with a doctor first.
- Scientific name
- Ligilactobacillus salivarius
- Family
- Lactobacillaceae
- Part used
- Live bacterial cells (probiotic strain)
- Common forms
- Capsules, tablets, chewable tablets, powders, and some fortified foods or oral lozenges
- Digestive and gut health
- Oral and dental health
- Immune support
- Vaginal and urinary health
- General probiotic supplementation
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated in healthy people, but caution is advised for those who are seriously ill or immunocompromised.
When used orally and appropriately. Ligilactobacillus salivarius has been safely used from about 30 weeks' gestation or diagnosis of gestational diabe...
Read the full pregnancy detailThere is insufficient reliable information available about the safety of Ligilactobacillus salivarius during lactation. However, there are currently n...
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Ligilactobacillus salivarius is a type of friendly bacteria, or probiotic. It was previously named Lactobacillus salivarius, but scientists reclassified it in 2020 into the new genus Ligilactobacillus. You may still see it listed under its old name on many supplement labels.
This bacterium lives naturally in the human mouth, intestines, and sometimes the vagina. It is also found in some animals and foods. Because it can survive in different parts of the body and may produce substances that limit the growth of harmful bacteria, it has become a popular ingredient in probiotic products.
People take it most often as capsules, tablets, powders, or oral lozenges. It is sometimes combined with other probiotic strains in multi-strain products.
How it works
Probiotics like Ligilactobacillus salivarius are thought to work in several ways. They may help crowd out harmful bacteria by competing for space and nutrients in the gut or mouth.
Some strains produce lactic acid and other substances called bacteriocins, which can slow the growth of certain unwanted bacteria. They may also interact with the cells that line the gut and with the immune system, possibly helping to support a normal immune response.
It is important to know that much of this information comes from laboratory and animal studies. How well these effects translate to real benefits in people is still being studied.
Does Ligilactobacillus Salivarius work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Ligilactobacillus Salivarius, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 17 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Antibiotic-associated diarrhea
Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Asthma
Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
It is unclear if oral Ligilactobacillus salivarius is beneficial for atopic dermatitis.
Insufficient Reliable Evidence To Rate Bacterial vaginosis
Vaginal Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Dental caries
It is unclear if oral heat-killed or viable Ligilactobacillus salivarius is beneficial for preventing dental caries.
Insufficient Reliable Evidence To Rate Dental plaque
It is unclear if oral heat-killed or viable Ligilactobacillus salivarius is beneficial for preventing dental plaque.
Insufficient Reliable Evidence To Rate Diabetes
It is unclear if oral Ligilactobacillus salivarius is beneficial for gestational diabetes.
Insufficient Reliable Evidence To Rate Exercise-induced respiratory infections
It is unclear if oral Ligilactobacillus salivarius is beneficial for preventing exercise-induced respiratory infections.
Insufficient Reliable Evidence To Rate Gout
It is unclear if oral Ligilactobacillus salivarius is beneficial for patients with gout.
Insufficient Reliable Evidence To Rate Group B streptococcal colonization
It is unclear if oral Ligilactobacillus salivarius is beneficial for eradication of group B streptococcal (GBS) colonization during pregnancy.
Insufficient Reliable Evidence To Rate Halitosis
It is unclear if oral Ligilactobacillus salivarius is beneficial for halitosis.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Although there has been interest in using oral Ligilactobacillus salivarius for IBS, there is insufficient reliable information about the clinical effects of L. salivarius for this condition.
Insufficient Reliable Evidence To Rate Mastitis
It is unclear if oral Ligilactobacillus salivarius is beneficial for mastitis prevention or treatment.
Insufficient Reliable Evidence To Rate Otitis media
It is unclear if oral Ligilactobacillus salivarius is beneficial for otitis media prevention.
Insufficient Reliable Evidence To Rate Periodontitis
It is unclear if oral Ligilactobacillus salivarius is beneficial for periodontitis.
Insufficient Reliable Evidence To Rate Pregnancy-induced nausea and vomiting
Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Ulcerative colitis
Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
For most healthy people, Ligilactobacillus salivarius is considered generally well tolerated when taken as directed. However, probiotics are living organisms, and safety depends on your overall health.
People who are seriously ill, have weakened immune systems, have central venous catheters, or are recovering from major surgery should be cautious. In rare cases, probiotics have been linked to serious infections in such individuals. These people should only use probiotics under medical supervision.
Because there is limited safety information, those who are pregnant or breastfeeding should talk to their doctor or pharmacist before using this probiotic. The same goes for giving it to infants or young children.
Choose products from reputable manufacturers, since supplement quality is not tightly regulated.
Side effects
Side effects are usually mild. The most common ones are digestive, such as gas, bloating, or mild stomach discomfort, especially in the first few days of use. These often settle as your body adjusts.
Rare but serious side effects, such as bloodstream infections (bacteremia), have mainly been reported in people who are very ill or have weakened immune systems. If you develop fever, severe stomach pain, or signs of infection, stop using it and seek medical care.
Ligilactobacillus Salivarius: Reported Adverse Effects
Documented safety reports on Ligilactobacillus Salivarius from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionDiabetes Immunologic
Since Ligilactobacillus salivarius preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Some lactobacilli species have been isolated in cases of bacteremia, sepsis, splenic abscess, endocarditis, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis. These cases are thought to be due to the translocation of bacteria from other locations in the body in which they occur naturally, such as the oral cavity, or the gastrointestinal or urogenital tract, and not to dietary or supplemental intake. There are such examples of L. salivarius infection. In one case, a male developed an intrabdominal abscess following gastric bypass surgery. In another, a 56-year-old male with diabetes and a previous gastrectomy developed bacteremia and empyema with respiratory failure.
- Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178.
- Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252.
- Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401.
- Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576.
- Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
- Wang HK, Teng LJ, Chen YC, Du SH, Hsueh PR. Lactobacillus salivarius empyema with respiratory failure. J Microbiol Immunol Infect 2017;50(6):923-925.
- García Carretero R, Regodon Dominguez M, Ruiz Bastian M, Lopez Lomba M. Lactobacillus salivarius infection as a postoperative complication after bariatric surgery. Enferm Infecc Microbiol Clin (Engl Ed) 2018;36(1):60-61.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official standardized dose for Ligilactobacillus salivarius. Probiotic doses are usually measured in colony-forming units (CFUs), and the amount varies widely between products.
The best approach is to follow the directions on the product label, since doses are tied to the specific strain and formulation. If you are unsure how much to take or whether it is right for you, ask your pharmacist or doctor for guidance.
Ligilactobacillus Salivarius & Pregnancy
Ligilactobacillus Salivarius & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 10 references that drive our Ligilactobacillus Salivarius monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Lindsay KL, Brennan L, Kennelly MA, et al. Impact of probiotics in women with gestational diabetes mellitus on metabolic health: a randomized controlled trial. Am J Obstet Gynecol. 2015;212(4):496.e1-11. PubMed
- Fernández L, Cárdenas N, Arroyo R, et al. Prevention of Infectious Mastitis by Oral Administration of Lactobacillus salivarius PS2 During Late Pregnancy. Clin Infect Dis. 2016;62(5):568-573.
- Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
- Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252. PubMed
- Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401. PubMed
- Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576. PubMed
- Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
- Wang HK, Teng LJ, Chen YC, Du SH, Hsueh PR. Lactobacillus salivarius empyema with respiratory failure. J Microbiol Immunol Infect 2017;50(6):923-925. PubMed
- García Carretero R, Regodon Dominguez M, Ruiz Bastian M, Lopez Lomba M. Lactobacillus salivarius infection as a postoperative complication after bariatric surgery. Enferm Infecc Microbiol Clin (Engl Ed) 2018;36(1):60-61. DOI
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Ligilactobacillus Salivarius: Common Questions
What is Ligilactobacillus Salivarius used for, and does it work?
Does Ligilactobacillus Salivarius interact with prescription medications?
How are Ligilactobacillus Salivarius interactions rated?
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Where does this Ligilactobacillus Salivarius interaction information come from?
What is Ligilactobacillus Salivarius used for?
Is Ligilactobacillus Salivarius the same as Lactobacillus salivarius?
Is it safe to take every day?
Can I take it while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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